PREMIUM CARE CLINIC
NPI 1386923019
Clinic/Center in Corona, CA
NPI Status: Active since August 11, 2011
Contact Information
11882 DE PALMA RD STE 2F-1
CORONA, CA
ZIP 92883
Phone: (951) 603-3335
Fax: (909) 799-2008
- Organization
- Clinic/Center
- CLIA Number: 05D2065861
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-15-2025
About PREMIUM CARE CLINIC
This page provides the complete NPI Profile along with additional information for Premium Care Clinic, a provider established in Corona, California operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1386923019 assigned on August 2011. The practitioner's primary taxonomy code is 261Q00000X with license number 05439 (CA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Premium Care Clinic. The authorized official of this NPI record is Dr. Khaled El Said Md (Md/owner)
- NPI
- 1386923019
- Provider Legal Name
- KHALED M. EL-SAID MD,INC
- Other Organization Name
- PREMIUM CARE CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 11882 DE PALMA RD STE 2F-1 CORONA, CA 92883
- Location Phone
- (951) 603-3335
- Location Fax
- (909) 799-2008
- Mailing Address
- 11882 DE PALMA RD STE 2F-1 CORONA, CA 92883
- Mailing Phone
- (951) 603-3335
- Mailing Fax
- (909) 799-2008
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-11-2011
- Last Update Date
- 01-31-2024
- Code Navigator
Location Map
Secondary Locations
- 15944 Los Serranos Country Club Dr Ste 200
Chino Hills, CA 91709
(909) 903-2330
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 05439
- License State
- CA
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2065861
- Facility Type
- Physician Office
- Certificate Effective Date
- September 16, 2023
- Certificate Expiration Date
- September 15, 2025
- Laboratory Director
- KHALED M. EL-SAID
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Premium Care Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for PREMIUM CARE CLINIC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 8 | 6 | 9 | 2 | 3 | 0 | 1 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 16 | 6 | 18 | 2 | 6 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 6 + 6 + 1 + 8 + 2 + 6 + 0 + 2 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1386923019 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
DR. KHALED EL SAID M.D.
Family Medicine
11882 DE PALMA RD STE 2F-1
CORONA, CA
ZIP 92883
SARAH GAYLE CARO NP
Nurse Practitioner
(Family)
11882 DE PALMA RD STE 2F-1
CORONA, CA
ZIP 92883
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386923019, enumerated as an "organization" on August 11, 2011.
The provider is located at 11882 DE PALMA RD STE 2F-1 CORONA, CA 92883 and the phone number is (951) 603-3335.
Clinic/Center with taxonomy code 261Q00000X.
